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<br />APPLICATION FOR PERHIT' <br />CITY OF ZEPBYRIII.LLS <br />BUILDING DEPAR'l'HENT <br /> <br />OIIIIER'S IWUl, P fJ r (10 L JJr-.eo~t ~ c-r.J.J~, PIIOIiJI q 9.1-7~ ~ <br />OWNER'S ADDRESS J 9rD5"j ;'P--Uf;:'-'15".{)ou..JAL~ Bi..IJ/l)-.,. <br />JOB ADDRESS rog2-~'--5-rE::p~~ lS ~~ <br />LEGAL DESCRIPTION: LOT(S) :3 J BLOCK SUBDIVISION ~/L-vt:-E Olft:s II!~ <br />PARCEL LD.' 3-2.6-21- 01 bO-OOOOn- O]1TXoBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ---..Addition ---Alteration -."Repair _Install <br /> <br />_Sign <br /> <br />---..JIove <br /> <br />---Peaolish <br /> <br />PROPOSED USE: ~Sing1e Faai!y <br /> <br />--1t/F _' of Units --1t/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool. _Other <br /> <br />-."Restaurant I( Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~ / f.J (.;f?, rAUI LLf ~ <br /> <br />BUILDING SIZE: )/L/ X ,-t::;'1' /;37 ..square Feet, Height <br /> <br />\RESIDENTIAL: ATTACH (2) PLOT ~S I( (2) SETS OF BUILDING PLANS I( (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS I( (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDlNG <br />RI.F.C1"RICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ 701000 <br /> <br />Valuation of Total Construction <br />X Florida Power Corp. <br />, <br /> <br />" ' <br /> <br />/ 5l) AIIP Service <br />$ ~ ~~tJCJ <br /> <br />W.R.E.C. <br /> <br />---..KECllANICAL <br /> <br />Valuation of lIecbanica1 Installation <br /> <br />--YLutlBING <br /> <br />GAS SHfAJ~ ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnOR: ''I- Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSBBD FLOOR ELEVAITOBS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZORE AREA? <br /> <br />.......................................... <br /> <br />YES <br /> <br />1if <br /> <br />CONTRACTOR SECTION' <br /> <br />BIJTTJlER <br /> <br /> <br />COMPANY <br />State Cert. r Regi .. <br />City License Registration . <br />.........*******.***.*........*..*..*. <br /> <br /> <br />Signature <br /> <br />RI.F.CTRICIAR COMPANY 5',t-5' ~./f ~ ,~ <br />~ ~ 4:~ State Cert. or Regist.' G/L ~ 2-t:>~ r <br />SilmAture 'A. . ~ . City License Registration '. 2-~.r- <br />........**...*............................ , <br /> <br />PLUKBER <br /> <br />COMPANY /VA./2/wt6Yl V- ~ ~ <br />JA' J "0. J / I State Cert. or Regist.' F t.) c./J ~6 / / <br />yv ~ _~ City License Registration' / I! t/ <br />.....*..........*......................... ' <br /> <br />Signature <br /> <br />UCIIAlIlCAL .d COIlPAIIY Ai. t2 - <r.. · Ale. <br />. ~ State Cert. or Reaist. . CSL'a ~ ").'f'l7 <br />Signature I! ~ A City License Registration . / S I <br />*. .*.*.. *....*..*.*.**.*...*....*.**. <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.*.........*......*.....*.*...*.*......... <br />APPLICAnOB APPillIVIlD BY J1 ~ ~ ll14:J:!: ~ PEBHIT OFfiCER. <br />